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目的进一步查清燃煤型氟中毒(地氟病)在秭归县的流行现状及强度,客观评价防治措施落实情况,考核防治效果,科学指导防治实践。方法按《湖北省地方性氟中毒重点调查方案》中规定的方法和标准在全县四层病区中随机抽取4个调查点进行调查。结果通过实施多年的改灶降氟工程,病区儿童氟斑牙患病率、尿氟值、食物氟含量等多项指标呈显著下降趋势,已低于病区划分标准。病情得到有效控制。结论以改灶降氟为主导的综合防制措施是防治该病最经济、最科学、最有效的措施,建立经费支持机制、加强科学规范管理、开展积极有效的监测是落实各项防病措施发挥最佳效益的根本保证。
Objective To further investigate the prevalence and intensity of coal-based fluorosis (Fluorosis) in Zigui County, objectively evaluate the implementation of prevention and control measures, evaluate the effectiveness of prevention and treatment and guide the practice of prevention and treatment by science. Methods According to the methods and standards stipulated in the “Key Investigation Plan of endemic fluorosis in Hubei Province”, four investigation points were randomly selected from the four wards in the county for investigation. Results After years of implementation of the Fluorine Reduction Project, the prevalence of dental fluorosis, urinary fluoride, and fluoride content in children in the ward showed a significant downward trend, which was lower than that of the ward. The condition has been effectively controlled. Conclusion The comprehensive prevention and control measures based on Fluoride-lowering are the most economical, scientific and effective measures to prevent and treat the disease. Establishing financial support mechanisms, strengthening scientific and standardized management, and conducting active and effective monitoring are the implementation of various preventive measures Play the best guarantee of the fundamental benefits.